speddeptapp by VII9jovw

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									Departmental Application for Admission                                        Western Illinois University
(MS Ed., Special Education degree program)                                           School of Graduate Studies



NAME:                                                                         WIU #

ADDRESS:                                                                      DOB:

PHONE:                                                                        EMAIL:

PHONE:                                                                        EMAIL:


WORK ADDRESS:

HAVE YOU BEEN ACCEPTED IN TO THE WIU GRADUATE SCHOOL?

LIST CURRENT TEACHING CERTIFICATIONS, ENDORSEMENTS, AND APPROVALS (INCLUDE TYPE,
STATE AND DATE)

LIST COLLEGE EDUCATION (COLLEGE, DEGREE AND DATE DEGREE EARNED). (MOST RECENT FIRST)

LIST PROFESSIONAL WORK EXPERIENCE (MOST RECENT FIRST). INCLUDE POSITION, EMPLOYER AND
DATES OF EMPLOYMENT.

LETTER OF INTENT. Please submit a formal, typed letter of intent that presents your reasons for seeking a Master’s of
Science degree in Special Education at WIU and your expectations for how this degree would contribute to your
professional career. Your letter will be reviewed with respect to your academic and professional writing skills, your
knowledge of educational practices, and the match between your expectations and the WIU program.

IF YOU HAVE ANY QUESTIONS CONTACT THE SCHOOL OF GRADUATE STUDIES.



           Western Illinois University
           School of Graduate Studies
           1 University Circle, Sherman Hall 116
           Macomb, IL USA 61455-1390                             Return completed form to the
           Phone (309)298-1806; Fax (309)298-2345                School of Graduate Studies.
           www.wiu.edu/grad; Email: Grad-Office@wiu.edu
           8-25-11

								
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